Kelsey Lyn Ketelsen, PT, MSPT is a
Physical Therapist based in Kemmerer, Wyoming. Kelsey Lyn Ketelsen is licensed to practice in Texas (license number 1326976) and her current practice location is
621 Topaz St, Kemmerer, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 679-4894.
NPI number for Kelsey Lyn Ketelsen is 1891313342 and her current mailing address is 621 Topaz St, Kemmerer, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891313342.
Healthcare Provider's Profile
| Full Name | Kelsey Lyn Ketelsen |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
|---|
| Location | 621 Topaz St, Kemmerer, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891313342
- Provider Enumeration Date: 07/10/2020
- Last Update Date: 07/10/2020
Medical Identifiers
Medical identifiers for Kelsey Lyn Ketelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891313342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1326976 (Texas) | Primary |
| 225100000X | Physical Therapist | 19316 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 2305212668 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 0016556 (Colorado) | Secondary |
| 225100000X | Physical Therapist | 0999 (Wyoming) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Lyn Ketelsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelsey Lyn Ketelsen, PT, MSPT
621 Topaz St,
Kemmerer, WY 83101-3445
Ph: (307) 679-4894 | Kelsey Lyn Ketelsen, PT, MSPT
621 Topaz St,
Kemmerer, WY 83101-3445
Ph: (307) 679-4894 |
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